Bone Densitometry

Are Your Patients Eligible for a Medicare Rebate?

Rebates are available for many, but not all, patients who are referred for a Bone Mineral Densitometry scan. To be eligible for a rebate, patients must meet one of the following criteria which must be clearly indicated on the referral:

Item Number 12306

Bone Densitometry, using dual energy X-ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting), for:

  • Confirmation of a presumptive diagnosis of low bone mineral density made on the basis of 1 or more fractures occurring after minimal trauma; or
  • Monitoring of low bone mineral density proven by bone densitometry at least 12 months previously;

Other than a service associated with a service to which item 12312, 12315 or 12321 applies.

For any particular patient, once only in a 24 month period.

Item Number 12312

Bone Densitometry, using dual energy X-ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting), for diagnosis and monitoring of bone loss associated with one or more of the following:

  • Prolonged glucocorticoid therapy;
  • Any condition associated with excess glucocorticoid secretion;
  • Male hypogonadism;
  • Female hypogonadism lasting more than 6 months before the age of 45;

Other than a service associated with a service to which item 12306, 12315 or 12321 applies.

For any particular patient, once only in a 12 month period.

Item Number 12315

Bone Densitometry, using dual energy X-ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting), for diagnosis and monitoring of bone loss associated with one or more of the following conditions:

  • Primary hyperparathyroidism;
  • Chronic liver disease;
  • Chronic renal disease;
  • Any proven malabsorptive disorder;
  • Rheumatoid arthritis;
  • Any condition associated with thyroxine excess;

Other than a service associated with a service to which item 12306, 12312 or 12321 applies.

For any particular patient, once only in a 24 month period.

Item Number 12320

Bone Densitometry, using dual energy X-ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting), for measurement of bone mineral density, if:

  • The patient is 70 years of age or over; and
  • Either:
    • The patient has not previously had bone densitometry; or
    • The t-score for the patient’s bone mineral density is -1.5 or more;

Other than a service associated with a service to which item 12306, 12312, 12315, 12321 or 12322 applies.

For any particular patient, once only in a 5 year period.

Item Number 12321

Bone Densitometry, using dual energy X-ray absorptiometry, involving the measurement of 2 or more sites at least 12 months after a significant change in therapy (including interpretation and reporting), for:

  • Established low bone mineral density; or
  • Confirming a presumptive diagnosis of low bone mineral density made on the basis of one or more fractures occurring after minimal trauma;

Other than a service associated with a service to which item 12306, 12312 or 12315 applies.

For any particular patient, once only in a 12 month period.

Item Number 12322

Bone Densitometry, using dual energy X-ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting) for measurement of bone mineral density if:

  • The patient is 70 years of age or over; and
  • The t-score for the patient’s bone mineral density is less than -1.5 but more than -2.5;

Other than a service associated with a service to which item 12306, 12312, 12315, 12320 or 12321 applies.

For any particular patient, once only in a 2 year period.

Item Number 1111

This is charged for Screening Bone Densitometry, which is not eligible for Medicare rebate.


If you would like further information, please call your nearest SKG location.